Nurses’ response to parents’ ‘speaking‐up’ efforts to ensure their hospitalized child's safety: an attribution theory perspective

Bsharat, Sondos; Drach‐Zahavy, Anat

doi:10.1111/jan.13282

Cited by 10 publications

(8 citation statements)

References 69 publications

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“…Each of these sources will trigger corresponding source effects. Source effects are best explained through attribution theory, which posits people make sense of the world by ascribing traits to, and establishing relationships between, the objects surrounding them (Fiske and Taylor, 1991;Kelley, 1967), particularly in provider-patient contexts (Bsharat and Drach-Zahavy, 2017). In evaluating a message, individuals typically draw on their inferences about the source's credibility and similarity (Wilson and Sherrell, 1993).…”

Section: Conceptual and Hypotheses Developmentmentioning

confidence: 99%

Collaborative authenticity

Orazi

Newton

2018

EJM

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PurposeEffective communication of information is central to integrated care systems (ICS), particularly between providers and care-consumers. Drawing on communication theory, this paper aims to investigate whether and why source effects increase positive evaluations of health-related messages among care-consumers. Design/methodology/approachA preliminary online survey (N = 525) establishes the discriminant validity of the measures used in the main experimental study. The main study (N = 116) examines whether identical messages disclosed to be created by different sources (i.e. institutional, care-consumer, collaborative) lead to different message evaluations, and whether source credibility and similarity, and message authenticity, explain this process. FindingsIn comparison to any other source, messages disclosed to be co-created are evaluated more positively by care-consumers. This effect occurs through a parallel serial mediation carried over by perceptions of source credibility and source similarity (parallel, first serial-level mediators) and message authenticity (second serial-level mediator). Practical implicationsThe findings offer guidelines for leveraging source effects in ICS communication strategies, signaling how collaborative message sources increase the favorableness of health message evaluations. Originality/valueThis research demonstrates the efficacy of drawing on marketing communication theory to build ICS communication capacity by showing how re-configuring the declared source of informational content can increase positive evaluations of health-related messages. In so doing, this research extends existing literature on message authenticity by demonstrating its key underlying role in affecting message evaluations.

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Section: Conceptual and Hypotheses Developmentmentioning

confidence: 99%

Collaborative authenticity

Orazi

Newton

2018

EJM

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“…The expectation of this initiative is to provide immediate feedback to prevent human errors before harm occurs (Okuyama, Wagner, & Bijnen, 2014). Despite the potential benefits in error prevention, issues arise as to what extent healthcare workers, patients and families/parents engage with and respond to this initiative (Bsharat & Drach-Zahavy, 2017).…”

Section: Perceptions Of 'Speaking Up For Hand Hygiene' Among Healthcamentioning

confidence: 99%

“…Perceptions of speaking up may vary, based on: (1) the context of 'Speak Up'™ (i.e., medication error, hand hygiene), (2) the roles (i.e., healthcare workers, patients, families/parents), and 3the settings (i.e., adult, paediatric/neonatal). These factors could become barriers for collaboration (Bellissimo-Rodrigues et al, 2016;Bsharat & Drach-Zahavy, 2017). A study that explored the perception of patients and their involvement in speaking up for safety found that patients had a positive experience.…”

Section: Perceptions Of 'Speaking Up For Hand Hygiene' Among Healthcamentioning

confidence: 99%

“…Later, a similar approach was extended to family/caregivers of the patients. Evidence of the impact of the extended speak up initiative that the research lacks rigour (Bsharat & Drach-Zahavy, 2017).…”

Section: Perceptions Of 'Speaking Up For Hand Hygiene' Among Healthcamentioning

confidence: 99%

“…However, a review of the literature identified that VAP education in PICUs is under researched, and the possible benefits of parental involvement in VAP strategies is an opportune area which has not been explored (Bellissimo-Rodrigues et al, 2016;Ciofi degli Atti et al, 2011). The initiative 'Speaking up for hand hygiene' revealed a promising partnership between parents and PICU staff, although the literature revealed mixed perceptions from those involved (Bsharat & Drach-Zahavy, 2017;Pan et al, 2013;Wu et al, 2013). Methods to maximise this partnership require further investigation.…”

Section: Summary Of the Thesismentioning

confidence: 99%

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An epidemiological study of ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE) surveillance and preventative strategies in critically ill children

Ali¹,

Azizah²

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Background: Ventilator-associated pneumonia (VAP) is an ongoing iatrogenic burden within the healthcare system for both adults and paediatrics. Debate continues over the appropriateness of the VAP surveillance tool in paediatrics. Implementation of the new ventilator-associated events (VAE) surveillance tool in the adult setting have shown to overcome the subjectivity of the traditional pneumonia 1 VAP (PNU1/VAP) surveillance tool. Unlike in adult units, the application of the VAE surveillance tool in paediatrics has not been mandated, leaving a question as to its potential application. The lack of VAP paediatric specific studies has hampered progress informing compliance with VAP preventative strategies in paediatric intensive care units (PICUs). Despite good hand hygiene practise being established as a vital infection control measure, perception of 'Speaking up for hand hygiene' in PICU still under-research. Hence, it became a potential area to improve good hygiene practice. Aim: To determine the VAP and VAE incidence using two surveillance tools at two time points; at baseline and post an education campaign aimed at both PICU staff and parents. In addition to testing the two surveillance tools, compliance auditing and staff and parental perspectives of VAP/VAE and preventative strategies was established. Methods: Retrospective study: PNU1/VAP and VAE surveillance tools were applied to 262 mechanical episodes of 234 children who received invasive mechanical ventilation ≥48 hours in PICU in 2015. The sensitivity and specificity of VAE surveillance tool was tested. Other epidemiological data were recorded; demographic characteristics, risk factors and VAP preventative strategies documented within the unit. VAP education, VAP compliance auditing with feedback and surveys: reinforcement of updated VAP education was launched for PICU staff, and a pamphlet focusing on 'Speaking up for hand hygiene' was developed primarily to educate parents. The information was delivered to parents (N=37) via a pamphlet and face-to-face education. VAP compliance auditing was conducted for a two-month period and involved 37 patients in PICU undergoing VAP preventative strategies implemented by PICU staff and parents: hand hygiene, oral hygiene, endotracheal tube (ETT) suctioning, ETT cuff pressure checks, head of bed elevation, ventilator circuit checks, and early enteral feeding commencement. The parents' and nurses' perceptions of 'Speaking up for hand hygiene' were examined through surveys undertaken by 19 parents and 34 nurses. ii Prospective study: a six-month prospective study was conducted to investigate any improvement in incidence rates of VAP/VAE and estimate the compliance rate of VAP preventative strategies. Results: The incidence rate of VAP/VAE was 9.3 per 1000 ventilator days (VAP/VAE) based on end of ventilation and 10.2 (VAP) and 10.4 (VAE) per 1000 ventilator days based on when the patients were no longer at risk. The specificity of the new VAE surveillance tool was high with a slight agreement between the tools. The...

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Understanding Missed Care: Definitions, Measures, Conceptualizations, Evidence, Prevalence, and Challenges

Jones

Drach‐Zahavy

Sermeus

et al. 2021

Impacts of Rationing and Missed Nursing Care: Challenges and Solutions

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Nurses’ response to parents’ ‘speaking‐up’ efforts to ensure their hospitalized child's safety: an attribution theory perspective

Abstract: These findings contribute to the understanding of antecedents that affect nurses' responses to parents' speaking-up initiatives: whether nurses will reject or heed the alert. Theoretical and practical implications for promoting parents' engagement in their safety are discussed.

Cited by 10 publications

References 69 publications

Collaborative authenticity

Collaborative authenticity

An epidemiological study of ventilator-associated pneumonia (VAP) and ventilator-associated events (VAE) surveillance and preventative strategies in critically ill children

Understanding Missed Care: Definitions, Measures, Conceptualizations, Evidence, Prevalence, and Challenges

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